Provider Demographics
NPI:1144612912
Name:METROPOLITAN MRI ASSSOCIATES, PSC
Entity Type:Organization
Organization Name:METROPOLITAN MRI ASSSOCIATES, PSC
Other - Org Name:CAROLINA IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-757-0572
Mailing Address - Street 1:405 AVE ESMERALDA STE 2
Mailing Address - Street 2:PMB 346
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-757-0572
Mailing Address - Fax:787-757-6619
Practice Address - Street 1:AVE. FRAGOSO #4-A S-4 Y 5
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-757-0572
Practice Address - Fax:787-757-6619
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN MRI ASSOCIATES, PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0084690OtherPTAN